Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantWashington, DCIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Senior Clinical Nurse, Medical Asset Support Team (O-5 Billet) Non-Supervisory U.S. Department of Homeland SecuritySenior Clinical Nurse, Medical Asset Support Team (O-5 Billet) Non-SupervisoryWashington, DCThe Medical Asset Support Team (MAST) program consists of a cadre of physicians, advanced practice providers, behavioral health providers, and registered nurses that augment and respond to the needs of IHSC-staffed facilities and provide support for administrative tasks and projects to IHSC units and programs. This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services, Clinical Services Support Unit.
Registered Nurse (RN), Days, Med Surg Neuro/Stroke Howard University HospitalRegistered Nurse (RN), Days, Med Surg Neuro/StrokeWashington, DC$37.33–$62.43 / hourNursing degree from an accredited school of nursing required; Bachelor of Science in Nursing (BSN) preferred Two (2) or more years of clinical nursing experience upon hire, OR completion of HUH's Professional Nurses Clinical Advancement Program (PNCAP) and eighteen (18) months of employment at HUH Current, active RN license in the District of Columbia Current Basic Life Support (BLS) certification through the American Heart Association (AHA) required Current National Institutes of Health Stroke Scale (NIHSS) certification required within ninety (90) days of hire Knowledge of professional nursing theory and practice to evaluate patient care; knowledge of medical equipment and instruments to administer patient care Demonstrated competency in neurological assessment Able to work in a stressful environment with multiple demands; resolve conflicts effectively, prioritize tasks, respond to emergencies, and react calmly Awareness of common safety hazards and precautions; able to respond to alarms, codes, telephones, and overhead pages Able to read charts, labels, documentation, policies, and procedures; able to communicate with staff, visitors, patients, and physicians in clear and concise English. Bachelor of Science in Nursing (BSN) Prior bedside experience in a neuroscience, stroke, medical-surgical, or progressive care setting National specialty certification - Stroke Certified Registered Nurse (SCRN), Certified Neuroscience Registered Nurse (CNRN), or Certified Medical-Surgical Registered Nurse (CMSRN) Experience caring for stroke, neurosurgical, or seizure patient populations Experience with Soarian Clinicals or a comparable electronic health record.
Supervisory Nurse Coordinator District Of ColumbiaSupervisory Nurse CoordinatorWashington, DCThis education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission of Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Services are provided in health suites located within schools and are designed to ensure timely access to primary care, preventative screenings, chronic disease management, and health education.
Workers' Compensation Claims Examiner Greenlife Healthcare StaffingWorkers' Compensation Claims ExaminerWashington, District of Columbia$42Qualifications: Bachelor's degree and at least two years of workers' compensation claims adjusting experience; OR eight years of progressively responsible claims-handling experience, including at least three years of workers' compensation claims adjusting experience. Complete required claim contacts, including 24-hour four-point contacts with injured workers, supervisors, medical providers, and other stakeholders; document activity in the claims management system.
Clinical Resource Management Associate Children's National HospitalClinical Resource Management AssociateWashington, DC$43,326.40–$72,196.80 / yearWorking under the supervision of a Registered Nurse Case Manager, you will collaborate with patients, families, vendors, payers, community agencies, and multidisciplinary healthcare teams to facilitate access to services, support appropriate utilization of healthcare resources, and promote positive patient outcomes. Please note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors).
Principal Technical Support Engineer - (Active Top Secret/SCI Clearance) NetScout Systems IncPrincipal Technical Support Engineer - (Active Top Secret/SCI Clearance)DCMatch Any Sparrow Carson City Michigan Athletic Club Michigan Athletic Club Restaurant Physicians Health Plan Sparrow Clinical Research Institute Sparrow Clinton Hospital Sparrow Eaton Hospital Sparrow Home Care Sparrow Hospital Sparrow Hospital Executive Sparrow Ionia Hospital Sparrow Medical Group Sparrow Medical Supply Sparrow Pharmacy Plus Sparrow Specialty Hospital Thoracic Cardiovascular Institute. Any Administrative/Clerical Clinical Professional/Technical/Allied Health Information Technology Internships Management/Professional Patient Services/Nursing Support Physicians & Advanced Practice Providers Radiology/Imaging Registered Nurses/Nursing Leadership Service/Support/Skilled Maintenance.
Dialysis Coordinator I DaVita IncDialysis Coordinator IWashington, DC$19.50–$25.50 / hourMeet individually with patients requiring outpatient dialysis placement, depending on program scope, within the assigned region to provide educational materials on: Outpatient dialysis, Modality options, Vascular Access options, insurance which includes an assessment of patients insurance, out-of-pocket costs and grant program options. DaVita is seeking a Full-Time Patient Pathways Dialysis Coordinator (Liaison) to facilitate the seamless transition of patients from the following hospital settings to our outpatient dialysis care: This role is ideal for a coordinator or clinical professional who excels at insurance verification, hospital collaboration, and patient advocacy.
NewOutpatient Psychiatrist MedStar HealthOutpatient PsychiatristWashington, DC$280,000–$305,000 / yearMedStar Washington Hospital Center is seeking a full-time Outpatient Adult Psychiatrist to join our multidisciplinary behavioral health team in Washington, D.C. This is an excellent opportunity for a psychiatrist interested in providing comprehensive outpatient care while working alongside a collaborative team of mental health professionals. Our program takes a multidisciplinary approach to mental health care, bringing together psychiatrists, psychologists, social workers, clinical counselors, psychiatric nurses, and other members of the care team to address the needs of the whole patient.
Workers Compensation Defense Paralegal Fort Myer Construction CorpWorkers Compensation Defense ParalegalWashington, DCJOB DESCRIPTIONSummary:The Workers Compensation Defense Paralegal supports the companys legal and risk management team in defending workers compensation claims filed against the company across the District of Columbia, Maryland, and Virginia (DMV). The role requires fluency in English and Spanish, current paralegal certification, strong knowledge of workers compensation law, and the ability to manage strict statutory deadlines across multiple jurisdictions.
Field Reimbursement Liaison - MidAtlantic Crinetics Pharmaceuticals IncField Reimbursement Liaison - MidAtlanticWashington, DC$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside within the MidAtlantic region, including Pennsylvania, West Virginia, New Jersey, Washington DC, Maryland, or Delaware, to support timely and consistent engagement with healthcare providers, patient access stakeholders, and key accounts across this high priority territory.
Workers Compensation Defense Paralegal - R2711 Fort Meyer Construction CompanyWorkers Compensation Defense Paralegal - R2711Washington, DCFor over 50 years, we have proudly served the infrastructure needs of DC, Maryland, and Virginia through specialized services including street and highway construction, bridge and structure work, utilities, electrical services, design-build projects, asphalt supply and paving, and emergency response operations. Summary: The Workers' Compensation Defense Paralegal supports the company's legal and risk management team in defending workers' compensation claims filed against the company across the District of Columbia, Maryland, and Virginia (DMV).
Contract Clinical Auditor Marsh McLennanContract Clinical AuditorWashingtonRemoteWhile performing the duties of this job, the employee is: Frequently required to sit; speak or hear; use hands to finger, handle, feel objects, and reach with hands and arms; Occasionally required to stand and walk; Extensive use of computer and keyboard and viewing of computer screen is required; Specific vision abilities required by this job include vision, and ability to adjust focus. ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited, to the following: Perform timely, objective clinical audits of disability claim files (short-term and long-term), including review of medical records, treating provider notes, diagnostic tests, functional assessments, and vocational information.
Clinical Informatics Arch Epic Children's National HospitalClinical Informatics Arch EpicDC$103,812.80–$173,035.20 / yearProject Management: Strong analytic thinking and problem-solving skills with mastery of project management, capable of handling multiple initiatives simultaneously, including overseeing successful and fast-paced implementations of enterprise software including the electronic health record (EHR). Please note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors).
Clinical Pharmacy Liaison Children's National HospitalClinical Pharmacy LiaisonWashington, DC$23.40–$39 / hourWorking under the supervision of the Director of Specialty Pharmacy Services and in collaboration with diabetes educators, providers, and care teams, the liaison plays a critical role in assisting patients with insulin, oral diabetes medications, continuous glucose monitors (CGMs), insulin pumps, and other diabetes-related therapies, ensuring patients have timely access to the medications and supplies they need as part of their hospital-based diabetes care plan. Please note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors).
NewClinical Psychologist (Advanced Care Level Psychologist) U.S. Department of JusticeClinical Psychologist (Advanced Care Level Psychologist)Washington, DC$103,225–$158,393 / yearIf you are on active duty and expect to be discharged or released from active duty service within 120 days, you may submit a Certificate of Release or Discharge from Active Duty from the appropriate Branch Personnel Office containing the following information: The military service dates including the expected discharge or release date; and. Serves as a resource to other psychologists as well as other staff members including physicians, psychiatrists, physician assistants, nurses, unit and case managers, correctional services staff and the administration regarding mental health diagnosis and treatment, and the clinical case management of the seriously mentally ill (SMI) inmates.
VP of Inpatient Services Children's National HospitalVP of Inpatient ServicesWashington, DC$150,000–$450,000 / yearAs a member of the Nursing Executive Leadership Team, the VP of Inpatient Services collaborates with providers, quality and safety leaders, finance, human resources, and interdisciplinary teams to advance high-reliability care, operational discipline, workforce engagement, patient and family experience, regulatory readiness, and measurable clinical outcomes. Advanced knowledge of pediatric inpatient nursing practice, patient care services, family-centered care, developmentally appropriate care, complex acute and critical care operations, care model redesign, case management, utilization management, discharge planning, care coordination, patient throughput, and safe transitions of care.
Part-time Clinical Navigator - RN/PT/OT/SW MedStar Health Research InstitutePart-time Clinical Navigator - RN/PT/OT/SWWashington, DC$74,214–$134,596 / yearPerforms daily routines including monitoring daily census and surgical schedules, attending appropriate unit rounds, keeping detailed daily logs/statistics regarding patients being followed, keeping workload organized and prioritized. The ideal candidate will be a Nurse, Physical Therapist, Occupational Therapist, or Social Worker that demonstrates leadership skills, including self-initiative and the establishment of effective organization/ processes for planning, directing, problem-solving, and teambuilding.
Senior Clinical Research Associate (level dependent on experience) CTISenior Clinical Research Associate (level dependent on experience)WashingtonFor that reason, we treat our team members with the respect they deserve, and our numbers show it: We support career progression – We believe in promoting from within and we have a structured mentoring program and program for recent graduates to provide the support employees need to move forward. To help support the unique job functions of our CRAs, we have a dedicated training department that offers ongoing therapeutic training sessions from our world-class medical directors, and an experienced and supportive management team that is there to offer continual guidance.
Director Utilization Management MedStar Family Choice MedStar Health Research InstituteDirector Utilization Management MedStar Family ChoiceWashington, DC$120,702–$238,222 / yearMaster's degree Master's degree in Nursing (MSN) Public Health (MPH) Healthcare Administration (MHA) Business Administration (MBA) or related field preferred. The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function across both plans.